Diagnostic Mammogram (both breasts) at SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$90.23 with Wellpoint vs $747.35 with Prime Health — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Wellpoint | MGMCD | $90.23 | — |
| Odyssey Healthcare | COMM | $100.25 | — |
| Humana | ChoicecareMGMCR | $100.25 | — |
| Sarah Cannon Research | COMM | $100.25 | — |
| Amerigroup | MGMCR | $100.25 | — |
| Devoted Health Plan | MCR | $100.25 | — |
| HealthSpring | DualEligible | $100.25 | — |
| HealthSpring | MCRHMO | $100.25 | — |
| HealthSpring | MCRPOS | $100.25 | — |
| United | VACCN | $100.25 | — |
| HealthSpring | MCRPPO | $100.25 | — |
| Aetna | MGMCRSNP | $101.25 | — |
| Aetna | MGMCRHMO | $101.25 | — |
| Aetna | MGMCRPPO | $101.25 | — |
| United | MGMCR | $102.25 | — |
| BCBS | MCR | $103.26 | — |
| WellCare | MCR | $103.26 | — |
| Zing | MGMCR | $103.26 | — |
| American Health Advantage | MCRPFFS | $105.26 | — |
| American Health Advantage | MCRSNP | $105.26 | — |
| American Health Advantage | MCRPPO | $105.26 | — |
| American Health Advantage | MCRPOS | $105.26 | — |
| American Health Advantage | MCRHMO | $105.26 | — |
| Evergreen HMO | MCR | $105.26 | — |
| Signature Advantage | MCR | $106.27 | — |
| BCBS | NetworkP | $107.17 | — |
| ATRIO Golden Times | MCR | $110.28 | — |
| Bright Health | MCRNarrow | $115.29 | — |
| BCBS | TENNCARE | $127.06 | — |
| BCBS | COVERKIDS | $137.72 | — |
| Prime Health | WORKERSCOMP | $144.36 | — |
| CorVel Corporation | WORKERSCOMP | $147.37 | — |
| NovaNET | WORKERSCOMP | $147.37 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $156.35 | — |
| NHC Advantage, Inc. | MCRHMO | $161.36 | — |
| Apex Health | MCR | $161.36 | — |
| Pruitt Health (AllyAlign) | MCR | $161.36 | — |
| United | HeritageSelect | $165.73 | — |
| United | AllPayerAppendix | $165.73 | — |
| United | CorePayer | $165.73 | — |
| Humana | NarrowExchangeNetwork | $186.28 | — |
| Humana | BroadNetwork | $186.28 | — |
| Humana | HumanaChoice | $186.28 | — |
| Humana | HumanaChoiceCare | $186.28 | — |
| Humana | TRICARE | $212.31 | — |
| Aetna | COMM | $219.50 | — |
| Aetna | NewBusiness | $219.50 | — |
| BCBS | BlueCare | $236.34 | — |
| United | OptionsPPO | $236.94 | — |
| Cigna | PPO | $276.86 | — |
| Cigna | NewBusiness | $356.44 | — |
| United | GlobalBenefitPlan | $382.17 | — |
| Cigna | OAP | $404.87 | — |
| Aetna | NAP | $424.63 | — |
| BGFH SingleSource | DIRECTNETWORK | $424.63 | — |
| Humana BH | COMM | $552.02 | — |
| Multiplan | COMM | $552.02 | — |
| Employers Health Network | COMM | $594.48 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $636.95 | — |
| ComPsych | COMM | $679.41 | — |
| Cigna Evernorth Behavioral Health | COMM | $679.41 | — |
| BGFH SingleSource | LEASEDNETWORK | $721.87 | — |
| Beech Street | COMM | $747.35 | — |
| Prime Health | COMMPPO | $747.35 | — |
Visitor-reported prices
Comments
Diagnostic Mammogram (both breasts) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $244.26 | $87.17 – $319.26 |
| CHI Memorial Hospital Hixson | Hixson | $126.99 | $80.13 – $300.30 |
| 62-1166050 BMH Carroll County | Huntingdon | $165.60 | $88.85 – $131.44 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $181.47 | $80.13 – $300.30 |
| Johnson City Medical Center | JOHNSON CITY | $85.50 | $59.44 – $218.55 |
| Ascension Saint Thomas DeKalb | Smithville | $244.26 | $87.17 – $319.26 |
| Ascension Saint Thomas Highlands | Sparta | $244.26 | $87.17 – $319.26 |
| Ascension Saint Thomas River Park | McMinnville | $244.26 | $87.17 – $319.26 |